Individual provider · Type 1 NPI
Mary Elizabeth Costello, NP
Family Nurse Practitioner · South Orange, NJ
NPI number
1497922157
Active
Practice location
400 South Orange Avenue, Seton Hall University Health Services
South Orange, NJ 07079-2697
Fax (973) 761-9193
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ00157400 (NJ) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1497922157
Mary Elizabeth Costello, NP's National Provider Identifier is 1497922157, issued on May 13, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Orange, NJ. The record was last updated on Feb 20, 2012.